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前列腺增生经尿道电切术尿失禁的术中预防

万旭辉 赖建平 陈善勤 付光华 李兴斌 甘道举 李健

四川医学2011,Vol.32Issue(11):1723-1725,3.
四川医学2011,Vol.32Issue(11):1723-1725,3.

前列腺增生经尿道电切术尿失禁的术中预防

Transurethral prostate resection surgery in the prevention of urinary incontinence

万旭辉 1赖建平 1陈善勤 1付光华 1李兴斌 1甘道举 1李健1

作者信息

  • 1. 宜宾市第一人民医院泌尿外科,四川宜宾644000
  • 折叠

摘要

Abstract

Objective To evaluate the transurethral resection of the prostate for the prevention of benign prostatic hyper-plasia intraoperative urinary incontinence. Methods In our hospital from January 1994 to November 2010 2100 eases of benign prostatic hyperplasia TUR-P treatment, analysis of postoperative urinary incontinence rate. Results Prostate symptom score improved from(29. 6 ± 1. 1) points down to(5. 2 ± 1. 2) points after 3 months, maximum urinary flow rate increased from (6. 2 ± 1.4)ml/s preoperatively to (17. 1 ±4. 6)ml/s after 3 months. 5 cases of postoperative temporary urinary incontinence occurred, no permanent urinary incontinence, urinary incontinence in 0. 24%. Conclusion TUR-P intraoperative should be carefully identify signs verumontanum, prevent damage to the external urethral sphincter. It is a key way to prevent urinary incontinence that the adjacent verumontanum of proliferation of glandular tissue resection is correctly handled.

关键词

前列腺增生症/经尿道电切术/尿失禁/精阜/预防

Key words

benign prostatic hyperplasia/ transurethral resection of the prostate/ urinary incontinence/ verumontanum prevention

分类

医药卫生

引用本文复制引用

万旭辉,赖建平,陈善勤,付光华,李兴斌,甘道举,李健..前列腺增生经尿道电切术尿失禁的术中预防[J].四川医学,2011,32(11):1723-1725,3.

四川医学

OACSTPCD

1004-0501

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